MEDICARE: HEALTHVIEW MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	44820	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164602876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHVIEW MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	3711 LONG BEACH BLVD.
Second Line	:	SUITE 214
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3319
Country	:	US
Telephone Number	:	562-426-3659
Fax Number	:	562-492-1206

Provider Business Practice Location Address
First Line	:	3711 LONG BEACH BLVD.
Second Line	:	SUITE 214
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3319
Country	:	US
Telephone Number	:	562-426-3659
Fax Number	:	562-492-1206

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHRISTOPHER KANAYO AGU
Credential	:
Telephone Number	:	562-522-3982

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	07/16/2008

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Directions to “HEALTHVIEW MEDICAL SUPPLY ” Practice Location

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